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Sustaining Generic Medicines Markets in Europe

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<strong>Susta<strong>in</strong><strong>in</strong>g</strong> generic medic<strong>in</strong>es markets 96International non-proprietary name: a s<strong>in</strong>gle name awarded by the World Health Organizationfor each active substance that is marketed as a medic<strong>in</strong>e. This name identifies the activesubstance rather than the f<strong>in</strong>al product which can be sold under different brand names.Licensed medic<strong>in</strong>e: medic<strong>in</strong>e with the same active substance as the orig<strong>in</strong>ator medic<strong>in</strong>e thathas an official licens<strong>in</strong>g, distribution or co-market<strong>in</strong>g agreement with the orig<strong>in</strong>ator medic<strong>in</strong>ecompany.Orig<strong>in</strong>ator medic<strong>in</strong>e: the first version of a medic<strong>in</strong>e developed and patented by an orig<strong>in</strong>atorpharmaceutical company which receives exclusive rights to market<strong>in</strong>g the medic<strong>in</strong>e <strong>in</strong> the<strong>Europe</strong>an Union for 15 years.Patent: a document grant<strong>in</strong>g a company exclusive rights to exploit a new medic<strong>in</strong>e for a givenperiod of time. The patent prohibits others from sell<strong>in</strong>g this medic<strong>in</strong>e without the permission of thecompany <strong>in</strong> the territory where the patent was issued.Pharmaceutical form: the physical form <strong>in</strong> which a medic<strong>in</strong>e is taken by patients as determ<strong>in</strong>edby its route of adm<strong>in</strong>istration. Pharmaceutical forms <strong>in</strong>clude tablets, capsules, <strong>in</strong>jectables andliquids.Reference-pric<strong>in</strong>g system: a system that establishes a reimbursement level or reference pricefor a group of <strong>in</strong>terchangeable medic<strong>in</strong>es. If a medic<strong>in</strong>e is priced above the reference price, thepatient pays the difference between the price of the medic<strong>in</strong>e and the reference price.Equivalence between medic<strong>in</strong>es can be def<strong>in</strong>ed at three levels: 1) by active substance, i.e.medic<strong>in</strong>es with the same active substance; 2) by pharmacological class, i.e. medic<strong>in</strong>es withchemically-related active substances that are pharmacologically equivalent; 3) by therapeuticclass, i.e. medic<strong>in</strong>es that have a comparable therapeutic effect.

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